[Salt sensitivity and hypertension].

Service de médecine interne, Département de médecine, HUG, 1211 Genève 14. Unité d'hypertension, HUG, 1211 Genève 14. Service de néphrologie, Département de médecine, HUG, 1211 Genève 14.

Revue medicale suisse. 2019;(662):1625-1628

Abstract

The salt sensitivity of the blood pressure (SSBP) is defined as a rise or fall in blood pressure induced by a change in sodium intake. There is an interindividual variation and no strong diagnostic criteria exist to date. The SSBP may lead to underestimation of the beneficial effect of sodium restriction in some patients in meta-analyzes. High sodium intake in salt sensitive patients results in an increase in the prevalence of hypertension and target organ damage. The etiology seems to be a failure of one or more natriuretic mechanisms. Some environmental, genetic and epidemiological factors increase its susceptibility. Per se, SSBP cannot be treated, but its identification may help in preventing hypertension and adapt the treatment in some populations.

Methodological quality

Publication Type : Review

Metadata